TENNESSEE 
             DEPARTMENT OF INTELLECTUAL 
          AND DEVELOPMENTAL DISABILITIES 
                                         
                        BASIC NUTRITION  
                                    AND  
              DOCTOR PRESCRIBED DIETS 
                                         
                            Resource Guide 
                                         
                                    Updated 
                             September 2011 
                                         
                                         
                                         
                                         
                              Basic Nutrition and Doctor Prescribed Diets 
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                                                   ACKNOWLEDGEMENTS 
                                                                      
                                                                      
                         Appreciation is expressed to all participants of the Nutrition Workgroup for their 
                 dedication and commitment to assisting with the design and content of this resource 
                 guide.  This workgroup consisted of the following: 
                         •   Home and Community Based Waiver Registered Dietitians and therapists 
                         • Family members 
                         • Advocates 
                         •   Independent Support Coordinators (ISCs) 
                         •   Long-term care provider agency representatives  
                         •   Representatives from TennCare  
                         •   Department of Intellectual and Developmental Disabilities (DIDD) Regional 
                             and Central Office staff 
                          
                  
                  
                  
                                                                      
                                                      Basic Nutrition and Doctor Prescribed Diets 
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                                                    TABLE OF CONTENTS 
                  
                  
                                                                                                                     
                 INTRODUCTION                                                                                       6 
                                                                                                                     
                 SECTION I:  OVERVIEW OF BASIC NUTRITION                                                            7 
                                                                                                                     
                 •   Overview of Basic Nutrition and the MyPlate                                                    8 
                                                                                                                     
                 SECTION II:  DOCTOR PRESCRIBED DIETS                                                              10 
                                                                                                                     
                 ƒ   Doctor Prescribed Diets                                                                       11 
                                                                                                                     
                 ƒ Regular Diet                                                                                    12 
                                                                                                                     
                 ƒ   Weight Gain Diet                                                                              13 
                                                                                                                     
                 ƒ   Weight Loss Diet                                                                              15 
                                                                                                                     
                 ƒ   Low Fat Low Cholesterol Diet                                                                  19 
                                                                                                                     
                 ƒ   Low Salt Diet                                                                                 22 
                                                                                                                      
                 ƒ   Diabetic Diet                                                                                  25 
                                                                                                                     
                 ƒ Gastroesophageal Reflux Disease (GERD) Diet                                                     30 
                                                                                                                     
                 ƒ   High Fiber Diet                                                                               31 
                                                                                                                     
                     ƒ   How To Manage Constipation                                                                33 
                                                                                                                     
                 SECTION III:  DIETARY TOOLS, SUPPORTS AND GUIDELINES                                              34 
                                                                                                                     
                 •   Dietary Tools, Supports, and Guidelines                                                       35 
                                                      Basic Nutrition and Doctor Prescribed Diets 
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                    •    Food Budgeting Tips                                                                                              36 
                                                                                                                                             
                    ƒ Menu Planning                                                                                                       38 
                                                                                                                                             
                    ƒ Grocery Shopping                                                                                                    42 
                                                                                                                                             
                    •    Reading Food Labels                                                                                              46 
                                                                                                                                             
                    • Meal Preparation                                                                                                    48 
                                                                                                                                             
                    • Food Safety                                                                                                         50 
                                                                                                                                             
                    •    Proper Food Storage                                                                                              53 
                                                                                                                                             
                    •    Eating Away from Home                                                                                            55 
                                                                                                                                             
                    • Provider Checklist                                                                                                  57 
                                                                                                                                             
                    SECTION IV:  WHEN A DIET IS NOT WORKING                                                                               58 
                                                                                                                                             
                    ƒ    When a Diet is Not Working                                                                                       59 
                                                                                                                                             
                    •    When Should I Make a Referral to a Registered Dietitian?                                                         62 
                                                                                                                                             
                    SECTION V:  ADDITIONAL NUTRITION RESOURCES                                                                            63 
                                                                                                                                             
                    •    Information on Doctor Prescribed Diets                                                                              
                        •    Fluids and Water                                                                                                
                        • Calcium                                                                                                         64 
                        • Iron                                                                                                            65 
                        •    Receiving Nutrition Through a Feeding Tube                                                                   66 
                                                                                                                                          67 
                        •    Recipes:  High Calorie High Protein Recipes                                                                  68 
                        •    Recipes:  High Fiber Recipes                                                                                 70 
                                                                                                                                             
                    •    Preparing Healthy Meals                                                                                          71 
                                                                                                                                             
                    •    Understanding Portion Control                                                                                    73 
                                                                                                                                             
                    •    Restaurant Guide                                                                                                 75 
                                                                                                                                             
                    •    Food and Drug Interactions                                                                                       77 
                                                                                                                                             
                    •    Staying Healthy with Exercise                                                                                    78 
                                                                                                                                             
                    ƒ    Guidelines for Obtaining Weights                                                                                 79 
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